Health inspection·January 3, 2024

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to report an allegation of verbal abuse within 2 hours to California Department of Public Health (CDPH) after the allegation was made, for one of four residents reviewed (Resident 1). This failure had potential to result in further abuse for Resident 1, affecting the resident's physical, emotional, and psychosocial well-being. Findings: On December 6, 2023, at 10:53 a.m., CDPH received a fax (facsimile - telephonic transmission of scanned-in printed material) report of an allegation of abuse involving a Certified Nurse Assistant (CNA), a License Vocational Nurse (LVN) and a resident. On December 13, 2023, at 9:20 a.m., an unannounced visit to the facility was conducted to investigate an allegation of abuse. A review of Resident 1's record indicated, Resident 1 was admitted to the facility on [DATE], with diagnoses which included blunt head trauma (head injury resulting from contact between the head and another object). A review of Resident 1's History and Physical, dated November 26, 2023, indicated Resident 1 is alert and oriented to name, date of birth and location. A review of Resident 1's Nursing Narrative Note, dated December 6, 2023, at 4:35 a.m., indicated, .Patient requesting a new gown .Writer brought new gown in instead of sending CNA in an effort to diffuse patient agitation .Patient still angry and stated that woman needs to check her attitude .If I were home I ' d get in the shower .this is elder abuse . A review of Resident 1's Nursing Narrative Note, dated December 6, 2023, at 6:03 a.m., indicated, .Writer heard patient struggling with his front wheel walker (a device use to help maintaitain balance while walking) .Entered room to assist .Patient stated get my bag .Writer ask patient to repeat himself .Patient shouted don ' t chastise (criticize) me .This is elder abuse . A review of Resident 1's Nursing Note Form, dated December 6, 2023, at 8:30 a.m., indicated, .Met with patient regarding his allegation of verbal abuse he experience from his interaction with night shift .He reiterated that he felt what was said to him amounted to elder abuse . (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 555417 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555417 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/03/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Desert Regional Medical Center D/P Snf 1150 North Indian Canyon Drive Palm Springs, CA 92262 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)